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NPI Code Detail

MEDICARE: MS. MONAYZIA K'PREE TAYLOR LCSWA

MEDICARE: MS. MONAYZIA K'PREE TAYLOR LCSWA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerP014839NC

General Provider Information

NPI Number : 1922626886
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MONAYZIA K'PREE TAYLOR LCSWA
Provider Business Mailing Address
First Line : 5820 E W T HARRIS BLVD STE 205
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-4032
Country : US
Telephone Number : 704-469-1243
Fax Number :
Provider Business Practice Location Address
First Line : 5820 E W T HARRIS BLVD STE 205
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-4032
Country : US
Telephone Number : 704-469-1243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2020
Last Update Date : 07/15/2020

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